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Intro to PT Ch 1 & 2 Dreeben
Terms in this set (65)
Who is the first Physician to recommend therapeutic exercise?
Greeks and Hipocrates.
What 2 major events centered around the creation of physical therapy?
World War ll and Poliomyelitis
A disease that occurred during the great depression that caused many deaths. It resulted in infantile paralysis
Mary McMillan and Marguerite Sanderson
The first Physical Therapists
writing about therapeutic exercises came from Taoists priests in China. Able to relieve pain and other symptoms. Body positioning and breathing.
The Art of Gymnastics
An elaborate system of exercises written by Greek physician Herodicus
1st physician in his time to recommend therapeutic exercises to his patients. He understood the principle of muscle, ligament and bone atrophy due to inactivity
wasting or loss of performance in a part of the body due to non use
recommended rubbing massage oil and water as a remedy for tiredness
What did army hospitals have to do with the development of Physical Therapy?
Pearl Harbor, WW ll 1941. Therapy was based on treatment of injured soldiers.
renowned physician of ancient Rome. Trauma surgery and musculoskeletal injuries
Libro del Exercicio
written by Christobal Mendez of Jaen was 1st book on exercise
What was introduced in the year 1700?
It was when massage, hydrotherapy, and exercises were first introduced in U.S., ideas originated from England
1st scientist to relate movements created by exercises to musculoskeletal system. The "Grandfather" of orthopedics
Per Henrik Ling
Was responsible for creating Swedish exercise, Swedish gymnastics or Swedish movement. All later became known as Swedish massage
CAPTE stands for...
Commission on Accreditation in Physical Therapy Education
What are the values and and culture of the PT profession?
Ethics, integrity, consistency and professionalism.
Bachelors degree in study of human movement who try to improve efficiency and performance of human body in sports, at work and during activities of daily living.
Physician Assistants can write what for PT's ?
The House of Delegates HOD is the...
highest policy-making body of the APTA
What is the APTA?
The American Physical Therapy Association is the national organization that represents the profession of physical therapy.
developed 71 different types of exercise machines
Therapeutic Association formed in 1890's
introduced diathermy as an electrotherapeutic modality
Margaret Knott & Dorothy Voss
expanded proprioceptive neuromuscular facilitation- PNF
A situation where the Physical Therapist is watching you practice. Certain work places require a PT physically supervise the PTA working with a patient and ready to step in to help if necessary.
PTA follows a plan of care. Some places don't require the PTA be physically supervised at all times but they must be available by telecommunications at all times.
What can the level of supervision depend on ?
The PTA's experience and the relationship they have with their PT. PTA is the only approved person to work under the PT.
What is the PT responsible for in regards to the PTA?
The treatment being given to the patient properly and that the PTA can be overseen if needed. PT is solely responsible for the quality of treatment the patient receives.
How does the APTA describe the PTA's duties ?
The PTA may take vital signs and ask pain level, responsible for reading and understanding the PT's plan of care, eval and any notes on safety precautions. Must be supervised if necessary to ensure treatment is well executed. If the PTA has ANY questions they must immediately ask the PT for clarification.
What is the PTA not allowed to do?
Do an evaluation or change the plan of care for the patient. We also cannot perform joint mobilization techniques and sharp debridement wound therapy.
surgical removal of foreign matter and dead tissue from a wound
What are the 5 elements of patient management?
Examination, evaluation, diagnosis, prognosis, and intervention.
Who makes all the decisions in regards to the patient's treatment?
The PT makes all the decisions in relation to the patient and if something changes with the patient's health the PT must be notified by the PTA as soon as possible.
During the evaluation, how can the PTA be involved?
The PT may delegate certain tasks to the PTA in order to obtain information about the patient. We may also take notes during the evaluation as long as it doesn't interfere with the prognosis and plan of care.
What happens during the process of diagnosis?
The PTA is not involved in this process where the PTA determines the challenges and pain the patient is experiencing and how to make a plan for what exercises they perform, the frequency of each exercise and the outcome the patient must reach.
During the patient's actual treatment the PTA is allowed to
take notes as they treat the patient as directed by the PT in reference to performance and any changes in the client's performance. The PTA may ask the PT for a re-examination of the patient if a drastic change is observed; but the PTA is not involved in the actual re-examination process.
In a collaborative relationship between the PTA and PT, the PTA's role is to...
offer suggestions, provide feedback, carry out agreed-upon delegated activities and freely express concerns to the PT about clinical issues or other difficulties.
What tasks may be delegated to the PTA ?
The PT may delegate administrative tasks to the PTA.
PT's are licensed in all states while...
PTA's are licensed in most states. They both most follow their state's practice act.
In home health agencies HHA
physical therapy can be performed under the "general" supervision of the PT
Where does the "direct" form of supervision take place?
In office of a physical therapist in private practice (PTPP)
What are the 3 different types of health care teams?
Intradisciplinary, multidisciplinary, and interdisciplinary.
team members work together within the same discipline.
team members work separately and independently in their different disciplines.
team members work together within all disciplines to set goals relevant to a patient or client's individual case.
What does SNF stand for?
skilled nursing facility
Who does the rehabilitation team include ?
A list of any possible health care workers that are involved with the patient's care.
The Physical Therapy Director
Can be either a PT or PTA and is responsible for making sure the department's policies and procedures are applied efficiently and that goals and strategic planning are set for the department.
How do you qualify for the Physical Therapy Director position?
Whoever is the director has a good amount of experience and oversees the employees and helps interview new employees and help their skills develop.
Minimum degree required is a Masters Degree. They help people improve their ability to perform tasks in their daily living and working environments.
Occupational Therapist Assistant
Work under the direction of the Occupational Therapists to provide rehab services to persons with mental, physical, emotional or developmental impairments
Or Speech Therapist is a skilled health care professional who has a master's degree in speech pathology and 6 months to a year in clinical experience
Designs, fabricates and fits patients with orthoses prescribed by the physician.
are braces that help patients that have disabilities with their limbs and spine.
Prosthetists & Orthotists
are responsible for making any modifications and alignments of the prosthetic limbs and orthotic braces, evaluating the patient's progress keeping accurate records on each patient and teaching patients how to care for their prosthetic or orthotic devices
Their responsibilities include therapeutic, preventative and health maintenance services in settings where physicians practice. The PA works under the supervision and direction of a physician.
Work to promote health, prevent disease and help patients cope with illness. They're also advocates and health educators for patients, families, and communities.
Help people function optimally in their environment, deal with their relationships and solve personal and family problems. Often see clients who face life-threatening disease or a social problem, such as inadequate housing, unemployment, serious illness, disability or substance abuse. Also assist families that have serious domestic conflicts, including those involving child or spousal abuse.
Certified Athletic Trainers
Usually works under supervision of a physician providing injury prevention, treatment and rehabilitation to a patient after an injury.
Physical Therapy Aides
Can perform routine designated tasks related to the operation of physical therapy services such as patient transportation, equipment cleaning and maintenance, secretarial duties or housekeeping duties.
Physical Therapy Volunteers
Member of community interested in assisting physical therapy personnel with departmental activities. Take phone calls, transport patients and file patient's charts. Cannot provide direct patient care.
Physical Therapist and Physical Therapist Assistant Students
PTA cannot be a clinical instructor for a PT student, but can be a clinical instructor for a PTA student
Home Health Aides
Nonlicensed worker who provides personal care and home management services
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